NPI | 1639323181 |
---|---|
Former Name | JAMI LINN GANTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235755) |
Additional Taxonomies | 183500000X Pharmacist (Licence: LA 18283) |
1835P1200X Pharmacist Pharmacotherapy (Licence: MA 3130910) | |
Enumeration Date | 2008-11-11 |
Last Update Date | 2016-11-09 |