| NPI | 1861887085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME Pr27940) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME Adv28681) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |