| NPI | 1669150504 |
|---|---|
| Former Name | JESSICA KRISTINE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MT PHA-PHA-LIC-54919) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh5976) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |