| NPI | 1427372895 |
|---|---|
| Former Name | MICHELLE LYNN STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3668) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 001012) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |