| NPI | 1649338682 |
|---|---|
| Former Name | JESSICA BETH MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 16578-40) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051.289448) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2012-11-21 |