| NPI | 1568739472 |
|---|---|
| Former Name | SHELBY GUENVEUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 16105-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 22643) |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2020-06-18 |