| NPI | 1477863637 |
|---|---|
| Former Name | KATHLEEN MARIE SHOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA0016162) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16162-PHA) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2019-10-30 |