| NPI | 1992325963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: OK 19634) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2022-07-08 |