| NPI | 1043764756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 63919) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.299648) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: TX 63919) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2018-12-04 |