NPI | 1992146401 |
---|---|
Former Name | LORA ANN MCCRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL Ps50591) |
Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-3577) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2014-11-05 |