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 |