| NPI | 1255615126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011026598) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051295339) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |