| NPI | 1255679346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 5477) |
| 183500000X Pharmacist (Licence: MN 120842) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2024-06-25 |