NPI | 1134484439 |
---|---|
Former Name | KAITLYN LOUISE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21668) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-102039) |
183500000X Pharmacist (Licence: MO 2012037982) | |
Enumeration Date | 2012-07-12 |
Last Update Date | 2021-09-30 |