| NPI | 1629660485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: RI RPH06400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH236085) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-02-07 |