NPI | 1023260932 |
---|---|
Former Name | JILLENE ANN LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00018969) |
Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PA00018969) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2020-04-30 |