| NPI | 1629853478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: NC 34177) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 44093) |
| 183500000X Pharmacist (Licence: CA 89886) | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-08-21 |