| NPI | 1306954912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NE 10609) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: AZ 12371) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |