NPI | 1114939196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH25869) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA 25869) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2022-07-06 |