| NPI | 1689276636 |
|---|---|
| Former Name | JEANNIE KINOSHITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: NV 19606) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-4340) |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2024-04-28 |