| NPI | 1346901634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH PHCY01274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2280232) |
| 183500000X Pharmacist (Licence: MA PH240448) | |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |