NPI | 1558674291 |
---|---|
Former Name | SHYLA JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054578) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 17608) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-07-22 |