| NPI | 1639596414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT0010998) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH04711) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |