| NPI | 1417237140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps22971) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051036409) |
| 183500000X Pharmacist (Licence: MO 041992) | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |