| NPI | 1336481035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 1346140) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: WI 1346140) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |