| NPI | 1851399166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: VA 0202206155) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: TX 41996) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2010-09-27 |