| NPI | 1174912000 |
|---|---|
| Former Name | JESSICA MCGOHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 017330) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025905A) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |