NPI | 1962740043 |
---|---|
Former Name | LAUREN HAMMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33736) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19589) |
Enumeration Date | 2013-01-23 |
Last Update Date | 2017-01-30 |