| NPI | 1134781800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WI 2294340) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124318) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-09-09 |