| NPI | 1568732881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 24496) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 4509) |
| 183500000X Pharmacist (Licence: IL 051.294591) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |