| NPI | 1831565001 |
|---|---|
| Former Name | KATRINA RAELYNN SKARDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MT PHA-PHA-36924) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 72999) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-10-20 |