| NPI | 1154347417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: CA 63842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14283-040) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-07-07 |