| NPI | 1629684253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-11791) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MS E-11791) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |