| NPI | 1730595851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH233979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH05007) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-08-06 |