| NPI | 1811247232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: ME pr28074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA ph234062) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2017-08-03 |