NPI | 1124216445 |
---|---|
Former Name | BOBBI ERIN BALLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5566092-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MT pha-pha-lic-14667) |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0014732) | |
Enumeration Date | 2007-10-11 |
Last Update Date | 2017-01-10 |