| NPI | 1548711849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2014024742) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MO 2014024742) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2019-09-12 |