NPI | 1275834392 |
---|---|
Former Name | AMBER LYNN NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 10680) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 10680) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2016-02-17 |