| NPI | 1922431311 |
|---|---|
| Former Name | CHONA RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 11231) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 5346) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |