| NPI | 1417224353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 43281) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 1804) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2021-11-22 |