| NPI | 1407403082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MT pha-pha-lic-79511) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03438695) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-10-15 |