| NPI | 1225309487 |
|---|---|
| Former Name | HEATHER ANNE LICHNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 32683) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.293819) |
| 183500000X Pharmacist (Licence: FL PU 5785) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |