| NPI | 1548587355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: MA PH23211) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH23211) |
| 314000000X Skilled Nursing Facility (Licence: MA PH23211) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-13 |