| NPI | 1174857148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053214) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051292999) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2011-05-03 |