| NPI | 1487642245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P5050) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P5050) |
| 1835P1300X Pharmacist, Psychiatric (Licence: ID P5050) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-07-08 |