| NPI | 1811583636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH240176) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 42513) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2024-12-02 |