NPI | 1730480146 |
---|---|
Former Name | KANDACE MICHELLE BARRE' |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49129) |
Additional Taxonomies | 183500000X Pharmacist (Licence: LA 019234) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2013-04-29 |