| NPI | 1316162357 |
|---|---|
| Former Name | MICHELE STACEY MOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00006221) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 6221) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2017-04-05 |