| NPI | 1952986895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 70078) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 116856) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 15757) | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |