NPI | 1811143787 |
---|---|
Former Name | CAROL NICHOLE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-14634) |
Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2007025639) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2019-04-08 |