| NPI | 1699774232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: MN 115393-0) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115393) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2021-01-08 |