| NPI | 1740441559 |
|---|---|
| Former Name | MARISSA HELENE WALDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302034893) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2012-07-03 |