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 | 2024-07-29 |