| NPI | 1477154383 |
|---|---|
| Former Name | JULIE JUANITA NEWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2016002115) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD11055) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |