NPI | 1891131389 |
---|---|
Former Name | AMANDA ROSE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0019810) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 66221) |
Enumeration Date | 2013-05-11 |
Last Update Date | 2023-01-19 |