| NPI | 1760791602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: IL 051.289908) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MI 5302030001) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |