NPI | 1013217793 |
---|---|
Former Name | JULIE ANN MYHREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19174) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 19174) |
Enumeration Date | 2010-10-27 |
Last Update Date | 2013-07-05 |