| NPI | 1063891471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 119021) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14956) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |