| NPI | 1285066951 |
|---|---|
| Former Name | SAMANTHA ELIZABETH BISGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100001469) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2013022755) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |