| NPI | 1235392721 |
|---|---|
| Former Name | JENNIFER ELLEN OESTREICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119323) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14913-40) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2008-07-06 |