| NPI | 1750827994 |
|---|---|
| Former Name | JENNIFER LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50711) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ s012092) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |