| NPI | 1780680629 |
|---|---|
| Former Name | ANGELA BRATTAIN HACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IN 26019205A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60982) |
| 183500000X Pharmacist (Licence: IN 26019205A) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-10-27 |