| NPI | 1811442742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD197005) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051297347) |
| 183500000X Pharmacist (Licence: WA PH60376544) | |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2020-06-29 |