| 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 |