| NPI | 1780284133 |
|---|---|
| Other Name | KATHRYN TATUM ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH029356) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 40519) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-27 |