| NPI | 1255701769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 121750) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: WI 21296-40) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2025-09-10 |