| NPI | 1568991370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: TX 59521) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 73344) |
| 183500000X Pharmacist (Licence: MI 5302041005) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |