| NPI | 1346775202 |
|---|---|
| Former Name | HEATHER SHORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2016041888) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1100066) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |