| NPI | 1366517575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 10497) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: OK 10497) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2018-08-23 |