| NPI | 1811392988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: ID P9915) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 19362) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL S10801) | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2023-09-18 |