| NPI | 1992257117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 15800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME pr4794) |
| 183500000X Pharmacist (Licence: VA 0202204873) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2020-08-20 |