NPI | 1245526763 |
---|---|
Former Name | COURTNEY ELIZABETH PAWULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ S018450) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051294842) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2020-03-26 |