| NPI | 1710983168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2005003710) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-040259) |
| 183500000X Pharmacist (Licence: IA 17353) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2022-08-03 |