| NPI | 1497902548 |
|---|---|
| Former Name | TANYA ELIZABETH MINKEVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 044737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-12737) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-04-24 |