| NPI | 1457736951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12435-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302038033) |
| 183500000X Pharmacist (Licence: IL 051.036049) | |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-07-25 |