NPI | 1184271041 |
---|---|
Former Name | KIM YOUNG PIERCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S026011) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ I023742) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2023-02-11 |