| NPI | 1568051464 |
|---|---|
| Former Name | ALYSSA LASSARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 88887) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-11-08 |