| NPI | 1073106928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist Pediatrics (Licence: NY 065607) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03877300) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |