NPI | 1477154383 |
---|---|
Former Name | JULIE JUANITA NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2016002115) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD11055) |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |