NPI | 1760155378 |
---|---|
Former Name | KALISSA GEARIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 45202) |
Enumeration Date | 2021-07-29 |
Last Update Date | 2021-09-16 |