| NPI | 1699068064 |
|---|---|
| Former Name | CAROL WYNNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 10235) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26015815) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |