| NPI | 1174969745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: IA 19726) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: IL 051289063) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2018-01-02 |