| NPI | 1396225470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH238288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH238288) |
| 183500000X Pharmacist (Licence: TX 65126) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-02-13 |