| NPI | 1083434831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 126645) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2023036770) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-02-28 |