| NPI | 1699320101 |
|---|---|
| Former Name | TRINA CORNMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448837) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP44837) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |