| NPI | 1528316536 |
|---|---|
| Former Name | KRISTIN DENISE TALBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 019817) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014738) |
| 183500000X Pharmacist (Licence: TN 0000035707) | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |