| NPI | 1487912135 |
|---|---|
| Former Name | KATHY TERRI LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00019589) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31241) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |