NPI | 1154316479 |
---|---|
Former Name | KRISTINA LU WYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI MI5302027686) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302027686) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2011-03-15 |