NPI | 1538891643 |
---|---|
Former Name | KALISTA M BRAUGHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 060000239) |
Enumeration Date | 2022-06-28 |
Last Update Date | 2022-11-09 |