| NPI | 1649278391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: FL PU4504) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: FL PS27152) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |