NPI | 1396362174 |
---|---|
Former Name | SARAH ANN MENDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: TX 36161) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36161) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2022-09-08 |