NPI | 1093021073 |
---|---|
Former Name | LINDSEY ERIN BISE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000034231) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34231) |
183500000X Pharmacist (Licence: FL PS47288) | |
Enumeration Date | 2010-08-27 |
Last Update Date | 2017-02-07 |