NPI | 1104118793 |
---|---|
Former Name | STEPHANIE DENISE BELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15203) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202012595) |
Enumeration Date | 2011-05-14 |
Last Update Date | 2011-05-14 |