| NPI | 1194144717 |
|---|---|
| Former Name | KARLY L O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46213) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH24959) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |