| NPI | 1174055768 |
|---|---|
| Former Name | RACHAEL LYNN WINTERMUTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P9753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60751105) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2022-02-15 |