| NPI | 1104080225 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 11740)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-038985)  | 
| Enumeration Date | 2008-07-17 | 
| Last Update Date | 2008-07-17 |