NPI | 1770029589 |
---|---|
Former Name | MICHELLE HUYNH VO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012602) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS54546) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |