| NPI | 1881086924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 121985) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 121985) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2018-03-17 |