| NPI | 1780922534 |
|---|---|
| Former Name | ASHLEY D SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20835) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007736) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |