| NPI | 1417475039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: RI RPH05929) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH237591) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2019-01-22 |