NPI | 1326321001 |
---|---|
Other Name | VICTORIA MARIE GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60453350) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA 020659) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2015-02-02 |