NPI | 1942420104 |
---|---|
Former Name | SARAH ELAINE GELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03-1-22762) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-1-22762) |
Enumeration Date | 2007-04-27 |
Last Update Date | 2022-10-27 |