| NPI | 1992570584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH06194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202219546) |
| 183500000X Pharmacist (Licence: MA PH240110) | |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |