| NPI | 1942573928 |
|---|---|
| Former Name | LISA B MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR rph-0008605) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 8605) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2016-02-26 |