| NPI | 1770822702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH04678) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: RI RPH04678) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |