| NPI | 1609652726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 126614) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 22377) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2025-01-21 |