NPI | 1770915381 |
---|---|
Former Name | JANIS MARIE TIPPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302039475) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22061) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2016-04-15 |