| NPI | 1417786112 |
|---|---|
| Former Name | STEPHANIE MAXINE RODNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 02011945) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.040009) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |