| NPI | 1508312414 |
|---|---|
| Former Name | MADELINE FREEMOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0021428) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 21428) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2022-12-20 |