| NPI | 1811392863 |
|---|---|
| Former Name | MELISSA BOUMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 14637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22273) |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2019-04-05 |