| NPI | 1194005769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 043103) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.290609) |
| 183500000X Pharmacist (Licence: AZ 10215) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |