| NPI | 1083014484 |
|---|---|
| Former Name | JESSICA HAWTHORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MA PH235261) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH235261) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2022-06-03 |