| NPI | 1336247030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL #051-287146) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI #5302031414) |
| 183500000X Pharmacist (Licence: MA #23607) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-01-11 |