NPI | 1578981965 |
---|---|
Former Name | RHONDA KAY ROBERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 6196) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22953) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2014-04-02 |