| NPI | 1609549369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: ID 4571281) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: GA RPH033004) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2026-01-13 |