| NPI | 1487122719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: MA PH25263) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH25263) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |