| NPI | 1992024822 |
|---|---|
| Former Name | MICHELLE DIANE SACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 37236) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 37236) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS45445) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2024-02-13 |