| NPI | 1790197895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 15191) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R1057) |
| 183500000X Pharmacist (Licence: ME PR4384) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |