| NPI | 1710311675 |
|---|---|
| Former Name | JESSICA ANN MCCLELLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ND RPh5484) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |