NPI | 1225376981 |
---|---|
Former Name | ALMA ANN DEATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA 16461) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16407) |
Enumeration Date | 2013-01-30 |
Last Update Date | 2013-01-30 |