NPI | 1588188452 |
---|---|
Former Name | KARMEN LEE ANN FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48764) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: TX 9107215) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2023-07-14 |