NPI | 1235341256 |
---|---|
Former Name | AMBER MCLENDON PEOPLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: NC 17699) |
Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: TX 43765) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2010-08-25 |