NPI | 1710564976 |
---|---|
Former Name | JESSICA LAURA MCLEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16283) |
Enumeration Date | 2021-03-25 |
Last Update Date | 2023-03-30 |