| NPI | 1356829733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: WV rp0006605) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: WV rp0006605) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |