| NPI | 1942822655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: KS 1-106939) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: IA 23745) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |