NPI | 1235350794 |
---|---|
Other Name | MYRNA ELAINE PENDERY-SPIVACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-18213) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302023660) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2009-07-30 |