| NPI | 1366735870 |
|---|---|
| Other Name | CONNIE JOYCE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p3701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00009309) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |