| NPI | 1437587045 |
|---|---|
| Former Name | RITA MARIE SUDOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 11909) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302023663) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |