| NPI | 1083146419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: FL PS53727) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: TX 59697) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |