| NPI | 1700141629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: NY 041247) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000007325) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |