NPI | 1265781686 |
---|---|
Former Name | COURTNEY ROSE MCNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23972) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302038931) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2014-09-10 |