| NPI | 1710735295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: PA RP452809) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: PA RP452809) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |