NPI | 1902276249 |
---|---|
Former Name | HEATHER STROUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PSI31364) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: FL PSI31364) |
Enumeration Date | 2015-09-29 |
Last Update Date | 2021-09-01 |