| NPI | 1538464128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117480) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 117480) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 117480) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2020-08-11 |