| NPI | 1053608158 |
|---|---|
| Former Name | CATHERINE A BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS P11711) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 36479) |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2021-08-24 |