NPI | 1881941110 |
---|---|
Former Name | AMBER LEANN RAYFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: NC 22459) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22459) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2021-11-01 |