NPI | 1831263896 |
---|---|
Former Name | JENNIFER LYNN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13308-040) |
Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-08 |