NPI | 1194949834 |
---|---|
Former Name | REBECCA DENISE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1612) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 16711) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |