| NPI | 1508296229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03631900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.297207) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2018-12-13 |