| NPI | 1205073301 |
|---|---|
| Former Name | COURTNEY MARIE KRAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 20965) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 118334) |
| Enumeration Date | 2009-01-11 |
| Last Update Date | 2012-12-13 |