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 |