NPI | 1427372895 |
---|---|
Former Name | MICHELLE LYNN STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3668) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 001012) |
Enumeration Date | 2010-03-15 |
Last Update Date | 2010-03-15 |