| NPI | 1093062424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IL 051295914) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 2298940) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2026-05-26 |