| 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 |