| NPI | 1700481413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0016569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH06401) |
| 183500000X Pharmacist (Licence: MA PH240627) | |
| 183700000X Pharmacy Technician (Licence: MA PI165412) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2025-05-06 |