| NPI | 1164612271 |
|---|---|
| Former Name | DOROTHY ANN MICHELBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00007964) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 3366) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |