| NPI | 1912697871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MO 2022035799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2022035799) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-07-15 |