| NPI | 1053731422 |
|---|---|
| Former Name | MICHELLE D EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21644) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PS45145) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |