| NPI | 1922525377 |
|---|---|
| Former Name | GEENA ELIZABETH NELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 022206) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-15071) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2019-02-25 |