| NPI | 1568732832 |
|---|---|
| Former Name | KAREN SUE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP040393R) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 33033) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |