| NPI | 1154788495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211994) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051286617) |
| 183500000X Pharmacist (Licence: IA 19031) | |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |