| NPI | 1891096566 |
|---|---|
| Former Name | ASHLEY LYNN VIRENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.294788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16489) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2017-08-24 |