| NPI | 1134490261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 045159) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MO 45159) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2025-06-04 |