| NPI | 1295103240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 121752) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121752) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2017-11-17 |