| NPI | 1972085744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0014576) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH240741) |
| 183500000X Pharmacist (Licence: RI RPH06201) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-12-22 |