| NPI | 1164062709 |
|---|---|
| Former Name | KIMBERLY LYNN JAKAITIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA 024940) |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2022-07-06 |