| NPI | 1255766424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.298446) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15867) |
| 183500000X Pharmacist (Licence: MO 2013024750) | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2020-10-15 |