| NPI | 1770724882 |
|---|---|
| Former Name | TARA ALEYNE MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 20819) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IA 20819) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2020-02-19 |