NPI | 1386632107 |
---|---|
Former Name | DEBORAH K GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-15438) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03-2-15438) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2021-06-24 |