| NPI | 1750663506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19055) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051293486) |
| 183500000X Pharmacist (Licence: NY 20055561) | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |