| NPI | 1750790804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03136321) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449004) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2021-04-16 |