| NPI | 1104300441 |
|---|---|
| Former Name | GENEVIEVE IBISI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS35294) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPT023569) |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2018-09-22 |