| NPI | 1386916484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PU7626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6430) |
| 1835P1300X Pharmacist Psychiatric (Licence: FL PS50321) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2016-06-15 |