NPI | 1114272689 |
---|---|
Former Name | MICHELLE YU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.301744) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16756-40) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2022-03-25 |