| NPI | 1194146522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051292583) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121631) |
| 183500000X Pharmacist (Licence: CO pha.0021622) | |
| 183500000X Pharmacist (Licence: IA 20816) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2021-04-22 |