| NPI | 1396089330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: KY 015935) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015935) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-01-19 |