| NPI | 1811143787 |
|---|---|
| Former Name | CAROL NICHOLE BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-14634) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2007025639) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-04-08 |