| NPI | 1275257719 |
|---|---|
| Former Name | CLARISSA MEDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 023102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 46465) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |