| NPI | 1952539264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34-010459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5315041662) |
| 208000000X Pediatrics (Licence: MI 5101018370) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2013-09-19 |