NPI | 1609347954 |
---|---|
Former Name | ASHLEY ELIZABETH SOBOLIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 23567) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MN 124059) |
Enumeration Date | 2018-12-16 |
Last Update Date | 2022-10-10 |