| NPI | 1831466101 |
|---|---|
| Former Name | JEANNE LAWSON ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS34095) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH020668) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2016-08-24 |