| NPI | 1841629920 |
|---|---|
| Former Name | EMILY HUEDEPOHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 17245-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21720) |
| 183500000X Pharmacist (Licence: MO 2012025461) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2014-02-21 |