| NPI | 1013281617 |
|---|---|
| Former Name | KATELYN PERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1973) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21388) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |