| NPI | 1184794729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13297-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 0051-040065) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: WI 13297-040) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |