| NPI | 1063642007 |
|---|---|
| Former Name | THERESA MARIE BROWNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 15527-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60258661) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2016-02-09 |