| NPI | 1760475248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: GA 0022492) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: SC 6607) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |