| NPI | 1962198283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IL 049163422) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |