| NPI | 1932571312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 028202) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35562) |
| 283Q00000X Psychiatric Hospital (Licence: GA 028202) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |