| NPI | 1952688517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.293743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302040120) |
| 183500000X Pharmacist (Licence: TX 48500) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |