| NPI | 1194272708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122987) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MN 935222) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |