| NPI | 1295023018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT pct.0011365) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI rph.04861) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |