| NPI | 1184648032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 21469) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MA 21469) |
| 1835P1300X Pharmacist, Psychiatric (Licence: MA 21469) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |