| NPI | 1891460135 |
|---|---|
| Former Name | ABIGAIL ROSE WISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069111) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 3168268) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-12-17 |