NPI | 1063768547 |
---|---|
Former Name | JANA TREECE WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.019812) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 37023) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2024-03-20 |