| NPI | 1548479702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207623) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH04518) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |