| NPI | 1699252692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: TX 64660) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-105888) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2021-02-08 |