| NPI | 1558635300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03-3-18521) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: IN 26024368A) |
| 1835P1300X Pharmacist, Psychiatric (Licence: MI 5302035869) | |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2012-02-25 |