| NPI | 1275880999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0200X Pharmacist Pediatrics (Licence: AR S021809) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 121038) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2016-04-19 |