| NPI | 1588896435 |
|---|---|
| Other Name | TRICIA LYNN FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33740) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 10861) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |