NPI | 1568618973 |
---|---|
Former Name | AMANDA MAE SPRINKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129964) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15876) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2013-07-05 |