| NPI | 1477143279 |
|---|---|
| Former Name | ALBERTA GAY BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 09754) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206905) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |