| NPI | 1356972558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: ID 4071374) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 72893) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-08-07 |