| NPI | 1164931564 |
|---|---|
| Former Name | AMY LAUREL FREUNDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps29209) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 09531) |
| 183500000X Pharmacist (Licence: CA 41037) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |