NPI | 1083891584 |
---|---|
Former Name | TRICIA LYN HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 14754-00) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 122216) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2021-02-26 |