| NPI | 1033972229 |
|---|---|
| Former Name | JAMIE MICHELE ETZKORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 30615) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 3168161) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |