| NPI | 1992420574 |
|---|---|
| Former Name | TONYA MARIE LIGHTCAP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202220089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 31011) |
| 183500000X Pharmacist (Licence: DC PH200004173) | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |