| NPI | 1215262902 |
|---|---|
| Former Name | LISA M WHITTINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-11782) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S016098) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2015-11-02 |