| NPI | 1447255823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: GA RPH017520) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 017520) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-12-29 |