| NPI | 1255524112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: AZ 011185) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: CA 54347) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |