NPI | 1710336623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 122815) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122815) |
1835P2201X Pharmacist, Ambulatory Care (Licence: WI 19601-875) | |
Enumeration Date | 2016-06-10 |
Last Update Date | 2023-11-14 |