| NPI | 1396044897 |
|---|---|
| Former Name | PAULA LYNETTE CANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 18113) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 08113) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2023-06-30 |