| NPI | 1477897288 |
|---|---|
| Former Name | AMY SUZANNE MOTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH022453) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16630) |
| 183500000X Pharmacist (Licence: CO 18592) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |