NPI | 1245355882 |
---|---|
Former Name | SHERRIA R WILBORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2007031817) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2007031817) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2019-12-20 |