| NPI | 1083846729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: TX 47486) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MO 2010027139) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2011-10-07 |