| NPI | 1194789305 |
|---|---|
| Former Name | WENDY JOHNSON-DEITMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 012345) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: KY 012345) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-04-18 |