| NPI | 1215517669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX PA17834) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2024-03-26 |