NPI | 1558668954 |
---|---|
Former Name | NANCI PAULENE WHALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TN 26681) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15691) |
Enumeration Date | 2011-02-21 |
Last Update Date | 2011-02-21 |