| NPI | 1215745484 |
|---|---|
| Former Name | EMILY SUSANN BROEG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 019286) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OH 03236976) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 019286) | |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-01-30 |