| NPI | 1427756824 |
|---|---|
| Former Name | ANGELA SUEANNE HAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: 30209081) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IN 67038970A) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |