| NPI | 1285185082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: GA RPH029798) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MA PH236972) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH236972) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2020-04-09 |