| NPI | 1548602873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 302304) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058220) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2020-07-06 |