| NPI | 1619587078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH240759) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0134300) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2022-12-27 |