| NPI | 1366966194 |
|---|---|
| Former Name | KENNDA ZOFFKA-ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0012740) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60157583) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-05-15 |