| NPI | 1134823289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 116729) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: MN 116729) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-04-18 |