| NPI | 1063789162 |
|---|---|
| Former Name | KATRINA ELISE LATTIMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S018851) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 66366) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2013-09-02 |