NPI | 1720318017 |
---|---|
Former Name | REGINA NUNLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S016087) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-292470) |
Enumeration Date | 2010-01-08 |
Last Update Date | 2024-06-17 |