| NPI | 1457594715 |
|---|---|
| Former Name | LONI CAMILLE TRAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 8619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 7018) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2010-02-25 |