| NPI | 1639750615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH05307) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235735) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-03-30 |