| NPI | 1417575960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS63738) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: FL PSI41692) |
| 183500000X Pharmacist (Licence: IL 051.302594) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2022-02-09 |