| NPI | 1073865929 |
|---|---|
| Former Name | BRANDI SU MONTOYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60301358) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20281) |
| 183500000X Pharmacist (Licence: AZ S025568) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-08-25 |