| 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 |