| NPI | 1003404989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: MA PH238730) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18855-40) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2026-06-24 |