| NPI | 1205160397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN IND-897076) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119788) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2025-02-12 |