| NPI | 1427323922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119321) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 119321) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302034624) | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2021-01-15 |