NPI | 1750308417 |
---|---|
Former Name | RAMONA VIRGINIA YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH014098) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH0010007) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-07-08 |