| NPI | 1205881679 |
|---|---|
| Former Name | MELISSA JEAN OLIVERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2001000220) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051286158) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |