| NPI | 1376659326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH23709) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23709) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-04-21 |