NPI | 1154605343 |
---|---|
Former Name | RACHEL GEORGENE KOVACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60242201) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0012778) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2011-10-05 |