| NPI | 1558361840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: MO 2000172889) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: KS 1-12942) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-09-13 |