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 |