| NPI | 1073514089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 9360) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: AL 9360) |
| 1835P1300X Pharmacist, Psychiatric (Licence: AL 9360) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |