| NPI | 1134417488 |
|---|---|
| Former Name | WESLEIGH ANN JASTORFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-15422) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5871) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2015-09-08 |