| NPI | 1225409352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH234139) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234139) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-11-17 |