| NPI | 1194912667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH240184) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03227997) |
| 183500000X Pharmacist (Licence: PA RP441819) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA MCS000084P) | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2022-05-04 |