| NPI | 1770036527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH234785) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NY 058014) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |