| NPI | 1619979648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH 3553) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: RI RPH 3553) |
| 1835P1300X Pharmacist Psychiatric (Licence: RI RPH3553) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |