NPI | 1679981021 |
---|---|
Former Name | BRANDY MICHELLE WHITLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH84400) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20 059562) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2022-05-02 |