NPI | 1649890757 |
---|---|
Former Name | SARA ELIZABETH PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH05263) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR6096) |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-04-17 |