| NPI | 1154324150 |
|---|---|
| Former Name | MARISA LYNN SOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ 12556) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 6207) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 12556) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2024-04-29 |