| NPI | 1417259334 |
|---|---|
| Former Name | BRANDIE LYNN SWENSRUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ND 5342) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 5342) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2016-05-05 |