| NPI | 1588499834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH1000813) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH1000813) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |