| NPI | 1205819190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: FL PS 38053) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03-3-24141) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |