NPI | 1851493001 |
---|---|
Former Name | NICOLE CHER CASSELBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302031834) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19271) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2008-08-21 |