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 |