NPI | 1164420600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: OR 9492) |
Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: WA PH60010896) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2023-03-07 |