| NPI | 1326202128 |
|---|---|
| Former Name | HALEY PAIGE PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45954) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH022784) |
| 183500000X Pharmacist (Licence: MS E-09919) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |