| NPI | 1134612633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: ME PR5426) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: ME PR5426) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |