| NPI | 1972170942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: OH 03-02-26488) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: KY 012413) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |