| NPI | 1609241686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MO 2010025225) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051294221) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2018-04-02 |