NPI | 1770989667 |
---|---|
Former Name | ATHENA M BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 24656) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S021010) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2023-08-14 |