| NPI | 1043725187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH17639) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 17639) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH17639) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2020-10-23 |