NPI | 1073038410 |
---|---|
Former Name | HEATHER NICOLE ROZEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: TX 4150555) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 61046) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2022-05-24 |