| NPI | 1679363964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 126975) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 126975) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-08-26 |