NPI | 1295041507 |
---|---|
Former Name | KELLY M DUNAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s017785) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26020635A) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2019-04-11 |