| NPI | 1962003467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH05144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012321) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |