| NPI | 1184939530 |
|---|---|
| Former Name | KENDRA FAYE GINGERICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MT PHA-PHA-LIC-6273) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 6273) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2014-10-23 |