| NPI | 1790293579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH239027) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MA PI162065) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2026-05-26 |