NPI | 1922728302 |
---|---|
Former Name | CAROLYN STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: IA 24555) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 20395) |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-08-29 |