| NPI | 1316589195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH1001857) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124431) |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2025-07-23 |