| NPI | 1659688018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME125799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 5083) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PR 18458) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2024-11-14 |