| NPI | 1225302458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056626-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051295409) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-11-02 |