| NPI | 1952519951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR 5323) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT CT 9088) |
| 183500000X Pharmacist (Licence: NH r1966) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |