| NPI | 1861811481 |
|---|---|
| Former Name | JENNIE MARIE LUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13576) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 67298201701) |
| 183500000X Pharmacist (Licence: UT 67298208911) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |