| NPI | 1417225830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47014) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: FL PS47014) |
| 1835P1300X Pharmacist, Psychiatric (Licence: NJ 28RI03305000) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2021-05-07 |