| NPI | 1154673937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03135406) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: PA RP446296) |
| 1835P1300X Pharmacist, Psychiatric (Licence: TX 47814) | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2023-09-12 |