| 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 |