| NPI | 1346679479 |
|---|---|
| Former Name | CARLY BETH TRENTINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007910) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP446955) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2016-02-21 |