| NPI | 1780955609 |
|---|---|
| Former Name | SHEILA LOUISE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 12370) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP037950L) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |