NPI | 1205058138 |
---|---|
Former Name | VANESSA VELIKIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP440176) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA 1835G0000X) |
183500000X Pharmacist (Licence: TX 48465) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2011-05-17 |