NPI | 1972959047 |
---|---|
Former Name | STACEY ANN KARL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 24079) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 24079) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2018-07-30 |