NPI | 1720275761 |
---|---|
Former Name | AMINAH SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph020302) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 15049) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2011-03-11 |