NPI | 1295089761 |
---|---|
Former Name | MARISSA NILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051292142) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034523) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2015-12-15 |