| NPI | 1962290148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: NY 064716) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: FL PS59826) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |