| NPI | 1902213101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020576) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: AZ S020576) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2021-08-27 |