| 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 |