| NPI | 1073226056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist Pediatrics (Licence: TX 43323) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 43323) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |