| NPI | 1164123287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: OH 03236997) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: NY 063297) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |