| NPI | 1760974034 |
|---|---|
| Former Name | JAIME LYNN SHIPLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4002) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: SD R-6639) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2019-01-16 |