| NPI | 1477500478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03-1-25655) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20 050212) |
| 1835P1300X Pharmacist, Psychiatric (Licence: NY 20 050212) | |
| 183500000X Pharmacist (Licence: OH 03-1-25655) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-08-16 |