| NPI | 1225412794 |
|---|---|
| Former Name | TERESA GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 27138) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059691) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2023-09-13 |