| NPI | 1083067961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NH 3091) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA ph23533) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |