NPI | 1023598620 |
---|---|
Former Name | STEFANI LYNNE TERRAZZANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NH phcy-00943) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA ph238263) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2023-12-08 |