| NPI | 1356949929 |
|---|---|
| Former Name | TERESA LOUISE VALLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 5020943) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302410646) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |