| 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 |