| NPI | 1629290093 |
|---|---|
| Former Name | DESHAUN RIDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP438785) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003475) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |