| NPI | 1306404181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CT PCT.0014302) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH237493) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2020-09-25 |