| 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 |