| NPI | 1902231731 |
|---|---|
| Former Name | AMANDA BOWLBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03334308) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13911) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2015-02-08 |