NPI | 1740928290 |
---|---|
Former Name | MADISON CHRISTINE ORDONEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP456809) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-05-24 |
Last Update Date | 2025-03-25 |