| NPI | 1245990290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH240196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 27401) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-01-23 |