| NPI | 1851014096 |
|---|---|
| Former Name | JANICE MARIE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 63553) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7872322) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |