NPI | 1851857759 |
---|---|
Former Name | AMY RENAE WUOBIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041754) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5315123312) |
Enumeration Date | 2019-02-15 |
Last Update Date | 2019-02-15 |