| NPI | 1023447091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0004451) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212353) |
| 183500000X Pharmacist (Licence: TX 54859) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: VA 4150067) | |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2017-02-24 |