| NPI | 1316265713 |
|---|---|
| Former Name | JENNIFER WUESTEWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR OR-0012793) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR PI-0010111) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2015-10-05 |