| NPI | 1407251028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: TX 58431) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 71850) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2025-03-24 |