| NPI | 1336606649 |
|---|---|
| Former Name | CRYSTAL PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 21567) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21567) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-06-11 |