NPI | 1992084545 |
---|---|
Former Name | ERIN SAGE RODEMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: CA 72515) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20306) |
Enumeration Date | 2011-08-15 |
Last Update Date | 2021-11-22 |