NPI | 1154414993 |
---|---|
Former Name | CHRISTY LYNN BARTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 10259) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 9498) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |