| NPI | 1619727302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: CA 90898) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P10745) |
| 183500000X Pharmacist (Licence: UT 14072855-1701) | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-04-29 |