| NPI | 1003243775 |
|---|---|
| Former Name | LAURA KATHALEEN ORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21996) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 296875) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2022-02-25 |