NPI | 1922660943 |
---|---|
Former Name | SARA ELIZABETH FABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 23586) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IA 23586) |
Enumeration Date | 2019-06-29 |
Last Update Date | 2020-12-23 |