| NPI | 1558629683 |
|---|---|
| Former Name | ANDREA LORRAINE ALWES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2008012652) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302038680) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |