NPI | 1932415916 |
---|---|
Former Name | ERIN AMANDA SHEELEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21744) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 48611) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2018-10-12 |