| NPI | 1114531605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH06127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH240204) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-01-03 |