| NPI | 1104553676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: ND RPh6411) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh6411) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 12716) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-09-29 |