| NPI | 1730701046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 46749) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA pst.018769) |
| 183500000X Pharmacist (Licence: RI RPH06076) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-11-18 |