| NPI | 1245743681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: PA RP451439) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03334750) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-12-08 |