| NPI | 1528448339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: TX 55587) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55587) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-03-07 |