| NPI | 1306193891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: MN IND-894922) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 118322) |
| 1835G0303X Pharmacist Geriatric (Licence: MN 118322) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2025-05-14 |