| NPI | 1841642907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: UT 8077169-1701) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: UT 8077169-8911) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |