| NPI | 1306271416 |
|---|---|
| Former Name | DEBORAH JO EMBREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21840) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-13148) |
| 183500000X Pharmacist (Licence: NE 14087) | |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2013-09-08 |