| NPI | 1689026197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0016282) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 122879) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-05-16 |