| NPI | 1699903815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH232503) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 232503) |
| 1835P1300X Pharmacist Psychiatric (Licence: MA PH232503) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-07-22 |