| NPI | 1235419615 |
|---|---|
| Former Name | KATELYNN MARIE BLUME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH 60222490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 60222490) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2019-03-04 |