| NPI | 1114157880 |
|---|---|
| Former Name | MARIE ANTOINETTE MARCELINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CT PCT.0013912) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21046) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2019-05-28 |