| NPI | 1861063273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03440326) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: MI 5302414126) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-09-02 |