| NPI | 1124481304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 121461) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121461) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2021-01-21 |