| NPI | 1275897696 |
|---|---|
| Former Name | KASEY RENEE LEGGETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: TX 51423) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 51423) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2015-12-07 |