| NPI | 1063734879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-034990) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0021566) |
| 183500000X Pharmacist (Licence: MO 041315) | |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2018-07-14 |