| NPI | 1083995260 |
|---|---|
| Former Name | AUDRA LEE FISCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120794) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15545) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2013-04-16 |