| NPI | 1730524703 |
|---|---|
| Former Name | LAUREN ELIZABETH JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 40381) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL S10617) |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2022-04-18 |