| NPI | 1972904399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH235385) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235385) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2021-06-10 |