| NPI | 1942972120 |
|---|---|
| Former Name | LAURA KATHERINE FARLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440292) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 28321) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-06-07 |