NPI | 1417050915 |
---|---|
Former Name | ANNETTE MARIE BRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: SD 5123) |
Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 116838-1) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2007-07-08 |