| NPI | 1912106857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45408) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 016089) |
| 1835P1300X Pharmacist, Psychiatric (Licence: TX 45408) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2013-08-13 |