NPI | 1760886048 |
---|---|
Former Name | ASHLEY DANIELLE FARGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: WI 16337-40) |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: IL 051.296829) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2014-10-15 |