NPI | 1427206168 |
---|---|
Former Name | JAMIYLA RONNIQUE BRACEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18911) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03035400) |
Enumeration Date | 2008-09-06 |
Last Update Date | 2008-09-06 |