| NPI | 1790818284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1711) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR4707) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-04-07 |