| NPI | 1053692681 |
|---|---|
| Former Name | DEBORAH ANNE MUNGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03119217) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26016979A) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |