| NPI | 1043537665 |
|---|---|
| Former Name | ALICIA GABRIELLE MCKNIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 36281) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15913) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2014-11-07 |