| 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 |