| NPI | 1528076809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: NJ 28RI01796900) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: NY 035072-1) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |