| NPI | 1013354273 |
|---|---|
| Former Name | JANIS ANNETTE IPPOLITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 29636) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |