| NPI | 1124312210 |
|---|---|
| Other Name | KATIE L BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051041068) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47225) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2020-01-20 |