| NPI | 1811285802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: ID P9049) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21478) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-04-22 |