| NPI | 1063749943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 46548) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14579) |
| 183500000X Pharmacist (Licence: IL 051.287229) | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |