| NPI | 1679019103 |
|---|---|
| Former Name | SONIA JO BRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh5845) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 32239) |
| Enumeration Date | 2017-01-08 |
| Last Update Date | 2017-01-08 |