| NPI | 1356638795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 003887720) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202207230) |
| 183500000X Pharmacist (Licence: IL 051039400) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2015-07-15 |