| NPI | 1427605021 |
|---|---|
| Former Name | NICOLE LINDY RASMUSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh6392) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6669) |
| 183500000X Pharmacist (Licence: MN 12727) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2022-08-15 |