NPI | 1861951253 |
---|---|
Former Name | TERRA LAINE HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051.301859) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.301859) |
Enumeration Date | 2019-03-15 |
Last Update Date | 2020-01-19 |