| NPI | 1679100663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 124572) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 124572) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-03-05 |