| NPI | 1447824826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH1000272) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: MN 125290) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-01-11 |