| NPI | 1386091742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: NH R2756) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH235572) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2017-03-15 |