NPI | 1093875247 |
---|---|
Former Name | JENNIFER SYLVIA RIDDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00064847) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00064847) |
1835P1200X Pharmacist Pharmacotherapy (Licence: WA PH00064847) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2024-09-04 |