| NPI | 1841572708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R2278) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 21625) |
| 183500000X Pharmacist (Licence: VT 033-0003874) | |
| 183500000X Pharmacist (Licence: IL 051.288217) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |