| NPI | 1265717862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH04127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH24576) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-11-28 |