| NPI | 1083166870 |
|---|---|
| Former Name | AMBER RAE CRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 27445) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0009928) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2024-10-29 |