| NPI | 1407256241 |
|---|---|
| Former Name | SHANNON SAMSON CHRISTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 057523) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2016-12-01 |