| NPI | 1083021711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: PA RP-448662) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP448662) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-07-03 |