| NPI | 1083747331 |
|---|---|
| Former Name | MARY SANDLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0019580) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P5623) |
| 183500000X Pharmacist (Licence: WA PH00017278) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2026-03-11 |