| NPI | 1437575123 |
|---|---|
| Former Name | KIMBERLY HOPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: MT 4925) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011376) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |