| NPI | 1407139751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60073855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.292969) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |