| NPI | 1912084351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051.289617) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012149) |
| 183500000X Pharmacist (Licence: WA PH00040273) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-10-06 |