| NPI | 1942329701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME pr5290) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 10649) |
| 183500000X Pharmacist (Licence: PA rp439940) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |