| NPI | 1811273659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH233968) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT0011308) |
| 183500000X Pharmacist (Licence: RI RPH05103) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2012-12-18 |