| NPI | 1881001584 |
|---|---|
| Former Name | PAMELA WYCKOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 43432) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |