NPI | 1821543364 |
---|---|
Former Name | MOLLY JEAN TRENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: OH 03136071) |
Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: KY 017067) |
1835C0205X Pharmacist, Critical Care (Licence: GA RPH027765) | |
Enumeration Date | 2016-08-24 |
Last Update Date | 2016-08-24 |