| NPI | 1881029361 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1783)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR5369)  | 
| 183500000X Pharmacist (Licence: MA PH24102)  | |
| Enumeration Date | 2013-09-04 | 
| Last Update Date | 2013-09-04 |