| NPI | 1760165674 |
|---|---|
| Former Name | SARAH ROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017034037) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-103023) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |