| NPI | 1679056089 |
|---|---|
| Former Name | SIERA KATELYN ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MT PHA-PHA-LIC-55072) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: MT PHA-PHA-LIC-55072) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-09-06 |