NPI | 1487149738 |
---|---|
Former Name | SHELBY DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IL 051300370) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300370) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2023-07-18 |