| NPI | 1619975075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302027745) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MI 5302027745) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2007-07-31 |