| NPI | 1851004311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0203020885) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: RI PHL06096) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |