NPI | 1578687034 |
---|---|
Former Name | APRIL AMBER BLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7914) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00060320) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2018-11-30 |