| NPI | 1528433950 |
|---|---|
| Former Name | TINA GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302034685) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26019315A) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |