| NPI | 1790817260 |
|---|---|
| Former Name | ANTOINETTE BLANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 011102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011102) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-10-27 |