| NPI | 1154983989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MN 124292) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: MN 124292) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |