| NPI | 1154848547 |
|---|---|
| Former Name | KATLIN MAY CORMIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p7950) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph60749814) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-12-11 |