| NPI | 1467886424 |
|---|---|
| Former Name | AMANDA MAHALA HUSKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 36526) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016076) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |