NPI | 1679921142 |
---|---|
Former Name | GINGER HEARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0009463) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA MA24685) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2017-03-27 |