| NPI | 1487937298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 27516) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH27516) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2021-08-25 |