| NPI | 1134784127 |
|---|---|
| Former Name | MICHELLE OMARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP442199) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 44256) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |