NPI | 1437449899 |
---|---|
Former Name | MONICA NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135340) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0006192) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2021-03-11 |