| NPI | 1669828117 |
|---|---|
| Former Name | KASEY BRANTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh5846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122120) |
| 183500000X Pharmacist (Licence: NE 14619) | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-04-29 |