| NPI | 1881822252 |
|---|---|
| Former Name | MAY WILSON SHACKELFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MS E-010369) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |