| NPI | 1467173484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH240976) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: RI RPH06464) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2025-09-17 |