| NPI | 1699932780 |
|---|---|
| Former Name | JENNIFER NICOLE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000032304) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2010-08-09 |