| NPI | 1932470358 |
|---|---|
| Former Name | CRYSTAL MONIQUE CALLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: AL 18991) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA RPH024495) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2017-09-29 |