NPI | 1114266590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21087) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-165955) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2025-03-13 |