| NPI | 1891365060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0023992) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR70620) |
| 183700000X Pharmacy Technician (Licence: ME PI70419) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-08-03 |