| NPI | 1568062065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI rph04438) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235706) |
| 183500000X Pharmacist (Licence: CT PCT0014377) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |