| NPI | 1174807820 |
|---|---|
| Former Name | AMANDA C BECKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16152) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014465) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2014-05-24 |