| NPI | 1851673891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH25989) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH04500) |
| 225X00000X Occupational Therapist (Licence: MA 1916) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |