| NPI | 1023637295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234998) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH05257) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |