| NPI | 1881138774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: VA 0202213027) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: CT PCT.0013479) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |