| NPI | 1437414356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120818) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: WI 17275-40) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-01-19 |