| NPI | 1639404759 |
|---|---|
| Former Name | JODY SUE PEARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: CA 47598) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 47598) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 47598) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |