| NPI | 1790772762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS62630) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 51290255) |
| 183500000X Pharmacist (Licence: PR 5149) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2026-07-14 |