| NPI | 1578168456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH05585) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236350) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: RI RPH05585) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-03-11 |