| NPI | 1447694450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 55643) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ZZ 092363) |
| 183500000X Pharmacist (Licence: AZ S016370) | |
| 208000000X Pediatrics (Licence: GA 75980) | |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2018-06-19 |