| NPI | 1346430899 |
|---|---|
| Former Name | ELLEN COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 15166) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20622) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2021-06-25 |