NPI | 1720681505 |
---|---|
Former Name | MARY JESSAMYN BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19875) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 41152) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |