| NPI | 1134683402 |
|---|---|
| Former Name | ABIGAIL SURLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 017862) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 6151339) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-02-28 |