| NPI | 1053695544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 10684-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-033871) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |