| NPI | 1053813170 |
|---|---|
| Former Name | JENNIFER ANN GOERDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MN 115905) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |