| NPI | 1407317563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist Pediatrics (Licence: TN 0000034520) |
| Additional Taxonomies | 1835C0205X Pharmacist Critical Care (Licence: TN 0000034520) |
| 1835N1003X Pharmacist Nutrition Support (Licence: TN 0000034520) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: TN 0000034520) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |