| NPI | 1447535679 |
|---|---|
| Other Name | LAURA NICOLE TIMBERLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023254A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014681) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |