| NPI | 1497182554 |
|---|---|
| Former Name | JULIE ANN MARTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 011731) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.037965) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2023-08-03 |