| NPI | 1851010482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist Pediatrics (Licence: MI 5315150700) |
| Additional Taxonomies | 1835P0200X Pharmacist Pediatrics (Licence: OK 12128) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |