| NPI | 1023684685 |
|---|---|
| Former Name | DEIDRE J COLLETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03328535) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302038722) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |