| NPI | 1720494719 |
|---|---|
| Former Name | KIMBERLY WURTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 6170) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS63219) |
| 183500000X Pharmacist (Licence: MN 122951) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2026-02-06 |