| NPI | 1679306302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MN 126647) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: WI 22772-40) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |