| NPI | 1699112581 |
|---|---|
| Former Name | JENNIFER LAUREN HORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 50528) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13419) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2015-07-10 |