| NPI | 1649687583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 122139) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IA 22207) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2025-09-04 |