| NPI | 1174589162 |
|---|---|
| Former Name | CHRISTINA REBEKAH RENGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S019797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00063929) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-09-17 |