| NPI | 1326437898 |
|---|---|
| Former Name | SARA M BONANNO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS57101) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PSI31272) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-02-08 |