| NPI | 1184141426 |
|---|---|
| Former Name | MAYA RACHAEL HOLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 065450) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03236987) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-10-13 |