| NPI | 1780091199 |
|---|---|
| Former Name | AMBER MARIE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 15690) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS43002) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |