| NPI | 1053734434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MN 121254) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 121254) |
| 183500000X Pharmacist (Licence: MN 121254) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: NY 055991) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2021-01-21 |