NPI | 1790068377 |
---|---|
Former Name | AMANDA R KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22014) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP447604) |
183500000X Pharmacist (Licence: SC sc35905) | |
Enumeration Date | 2011-09-21 |
Last Update Date | 2016-04-05 |