| NPI | 1760866396 |
|---|---|
| Former Name | TARA FEHRENBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334469) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017731) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-05-17 |