| NPI | 1568949600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH238806) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 063514) |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2023-02-21 |