| NPI | 1144566530 |
|---|---|
| Former Name | JAMIE LEA TRAUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-16341) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011023093) |
| 183500000X Pharmacist (Licence: NE 13672) | |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2024-09-17 |