| NPI | 1073978482 |
|---|---|
| Former Name | SAN SOUVANNALEUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 73504) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60565451) |
| 183500000X Pharmacist (Licence: TX 57996) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH0015000) | |
| 183500000X Pharmacist (Licence: NV 19179) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2023-06-09 |