| NPI | 1215574835 |
|---|---|
| Former Name | JESSECA LAUREN PENNOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH81427) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S024269) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2025-07-02 |