| NPI | 1508346594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: NY 058662) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: VA 0202214383) |
| 1835P0200X Pharmacist, Pediatrics (Licence: WV RP0010449) | |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |