| NPI | 1518757772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: CO PHA.0024463) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: OH 03445297) |
| Enumeration Date | 2025-05-10 |
| Last Update Date | 2025-05-10 |