| NPI | 1467016634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: SC 36202) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 36202) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-05-07 |