| NPI | 1326166653 |
|---|---|
| Former Name | ANGELA RUTH FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 009599) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 9599) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-01-24 |