NPI | 1174014799 |
---|---|
Former Name | KATHERINE CONSTANCE OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 24966) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DC PHI100003061) |
183500000X Pharmacist (Licence: VA 0202216420) | |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |