NPI | 1871820811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: TN 33967) |
Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: WV RP0007128) |
Enumeration Date | 2009-11-12 |
Last Update Date | 2009-11-12 |