| NPI | 1528497534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.296606) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0013868) |
| 183500000X Pharmacist (Licence: WA 60437042) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2014-09-18 |