NPI | 1851798714 |
---|---|
Former Name | EMILY REBECCA ROCKWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60438283) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234553) |
Enumeration Date | 2014-11-20 |
Last Update Date | 2017-10-12 |