| NPI | 1285209619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH239897) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: CT PCT.0015236) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2026-03-02 |