| NPI | 1639505191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2013031288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-16031) |
| 183500000X Pharmacist (Licence: IL 051.297477) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2023-03-14 |