| NPI | 1689987414 |
|---|---|
| Former Name | KELLY ACKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051294681) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21242) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2014-01-03 |