| NPI | 1962710236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051033379) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 11647 exp 12/31/2016) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2016-10-11 |