| NPI | 1275081432 |
|---|---|
| Former Name | AMANDA ROSE MAIONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 061184) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061184) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NY 061184) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2020-11-21 |