| NPI | 1073848693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MN 114197) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2019-10-28 |