| NPI | 1538412879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 295951) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 81916) |
| 183500000X Pharmacist (Licence: MI 5302041622) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2020-07-08 |