| NPI | 1720754468 |
|---|---|
| Other Name | MELINDA, MINDY TIEGS, ROCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61175494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P9425) |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2023-12-13 |