| NPI | 1285957605 |
|---|---|
| Former Name | JUDY M HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR pd10001) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 25202) |
| 183500000X Pharmacist (Licence: MS T-13142) | |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2020-05-07 |