NPI | 1811204910 |
---|---|
Former Name | LYNDSAY ELISE WORMUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056328) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH RPH.03129405-1) |
Enumeration Date | 2010-09-10 |
Last Update Date | 2022-07-21 |