| NPI | 1710644190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063365) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: NY 063365) |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2021-12-01 |