| NPI | 1598167413 |
|---|---|
| Former Name | LEA ELISE ACUFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15283) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 20210) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-10-28 |