| NPI | 1518062553 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13832040)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051287841)  | 
| Enumeration Date | 2006-09-14 | 
| Last Update Date | 2007-07-08 |