NPI | 1215358072 |
---|---|
Former Name | AMANDA HORNBACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IN 26025171A) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025171A) |
Enumeration Date | 2013-12-21 |
Last Update Date | 2016-06-13 |