NPI | 1255828273 |
---|---|
Former Name | KIMBERLY GRACE HERRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS39589) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS39589) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS39589) | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2021-08-24 |