NPI | 1700896362 |
---|---|
Former Name | SANDRA A. MROCHEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835N1003X Pharmacist Nutrition Support (Licence: TN 7691) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 7691) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2017-12-07 |