| NPI | 1578109997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH239516) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 38348) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03335200) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-07-02 |