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 |