NPI | 1053951517 |
---|---|
Former Name | LEANNE NICOLE JUSTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 39456) |
Enumeration Date | 2020-01-13 |
Last Update Date | 2020-01-13 |