| NPI | 1710201488 |
|---|---|
| Former Name | ANDRYA MARIE NOVAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IA N16493) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 35747) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 35747) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-09-01 |