| NPI | 1174742084 |
|---|---|
| Former Name | TONYA M VANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00050800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00050800) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH00050800) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-07-13 |