| NPI | 1700110186 |
|---|---|
| Former Name | AMY RENE MONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 38941) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19031) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2020-09-02 |