| NPI | 1235410648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24911) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NC L-309664) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2023-02-14 |