| NPI | 1538399340 |
|---|---|
| Former Name | AMBER NICOLE PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP442973) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007259) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |