| NPI | 1104068758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IL 051.292957) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.292957) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2019-05-24 |