| NPI | 1639766041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH03765) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0010183) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |