| NPI | 1265816292 |
|---|---|
| Former Name | LAUREN ELIZABETH ALTMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 27483) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449725) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-08-09 |