| NPI | 1619242260 |
|---|---|
| Former Name | SARA ELIZABETH SMOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OK 14436) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI 3921) |
| 183500000X Pharmacist (Licence: IA 20954) | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2017-03-01 |