| NPI | 1952789083 |
|---|---|
| Former Name | AGNES ANN HALSTED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 30234) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20046) |
| 183500000X Pharmacist (Licence: CA 43555) | |
| 183500000X Pharmacist (Licence: NM 00007905) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |