| NPI | 1578991238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MA PH234935) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234935) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2024-08-28 |