| NPI | 1922628486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 124379) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124379) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2022-07-27 |