| NPI | 1730664293 |
|---|---|
| Former Name | ANDREA ELLEN EGGERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: WI 11223-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 11223-40) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |