| NPI | 1265087654 |
|---|---|
| Former Name | VALORIE MICKELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA 41398) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |