| NPI | 1578155222 |
|---|---|
| Former Name | MARA YEE OTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP454139) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 28644) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |