| NPI | 1356239321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MD 25763) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 76846) |
| 1835P1300X Pharmacist, Psychiatric (Licence: CA 76846) | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |