| NPI | 1053899419 |
|---|---|
| Former Name | CASSAUNDRA S GROOMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236832) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202216254) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2018-07-29 |