| NPI | 1912121302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 51682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17712) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-12-19 |