NPI | 1427605021 |
---|---|
Former Name | NICOLE LINDY RASMUSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh6392) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6669) |
183500000X Pharmacist (Licence: MN 12727) | |
Enumeration Date | 2019-08-20 |
Last Update Date | 2022-08-15 |