NPI | 1871991067 |
---|---|
Former Name | ALICIA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302039373) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23038) |
183500000X Pharmacist (Licence: DC PH100001977) | |
Enumeration Date | 2014-12-20 |
Last Update Date | 2023-08-22 |