| NPI | 1043364409 |
|---|---|
| Former Name | DEDRA DIONNE BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH021280) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA RPH021280) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-05-29 |