| 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 |