| NPI | 1629029053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2002027584) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 51287985) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-14 |