| NPI | 1710616610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: ID P9535) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: WI 21209-40) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-08 |