| NPI | 1689016057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: RI RPH05534) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234455) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2023-03-15 |