NPI | 1689040834 |
---|---|
Former Name | KAREN ERCEG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13927-40) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0020218) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2015-08-11 |