| NPI | 1720595440 |
|---|---|
| Former Name | JANE MADELEINE AXELROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 123300) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MN 123300) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2025-09-19 |