NPI | 1730446063 |
---|---|
Former Name | WHITNEY DANAE RAPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13209) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20348) |
183500000X Pharmacist (Licence: VA 0202208414) | |
Enumeration Date | 2012-04-11 |
Last Update Date | 2012-04-11 |