| NPI | 1568199610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: TX 58719) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 58719) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |