| NPI | 1144330655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: SC 009935) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: NY 046234) |
| 1835P1300X Pharmacist, Psychiatric (Licence: OH 03-3-24279) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: VA 0202205225) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-08-31 |