| NPI | 1063853026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP437248) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.294024) |
| 183500000X Pharmacist (Licence: FL PS26664) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2016-12-15 |