NPI | 1679744478 |
---|---|
Former Name | KATHERINE LANAE RAYSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302032671) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 56857) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2008-03-19 |