| NPI | 1124646450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S024679) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH239214) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-10-15 |