| NPI | 1366553182 |
|---|---|
| Former Name | DAWN CHARMAINE HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42757) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 17517) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-05-11 |