| NPI | 1972970796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061440) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.298854) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2017-02-28 |