| 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 |