| NPI | 1184456105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH1001218) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 070921) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |