| NPI | 1992018188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR3319) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 2157) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |