| 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 |