| NPI | 1659788925 |
|---|---|
| Former Name | JACLYN KATHLEEN SPROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MN 121206) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |