NPI | 1386193365 |
---|---|
Former Name | ASHLEY MARIE DODSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS56341) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0009849) |
Enumeration Date | 2016-10-01 |
Last Update Date | 2018-08-30 |