NPI | 1467048546 |
---|---|
Former Name | SARA JESSICA BRENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012403) |
Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH05153) |
Enumeration Date | 2020-12-14 |
Last Update Date | 2020-12-14 |