| NPI | 1396096624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 117891) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117891) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2021-01-08 |