| NPI | 1447482294 |
|---|---|
| Former Name | POLINA MAYZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 053860) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053860) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2011-07-14 |