| NPI | 1700481249 |
|---|---|
| Former Name | PENNY LAINE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD10308) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2018037540) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |