| NPI | 1356479711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 52082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT20688) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-01-03 |