NPI | 1457703845 |
---|---|
Former Name | NICOLE ELIZABETH TROMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: DC PH100002356) |
Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: MD 22572) |
1835P0200X Pharmacist, Pediatrics (Licence: VA 0202215011) | |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |