| NPI | 1467892596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: CT PCT.0013184) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19866) |
| 183500000X Pharmacist (Licence: FL PS41593) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2019-06-06 |