| NPI | 1538636170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MT 18314) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MT 18314) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |