NPI | 1205292737 |
---|---|
Former Name | ALLISON MARIE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 3153648) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122392) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2025-02-10 |