| NPI | 1336322379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 117577) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117577) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2025-05-30 |