| NPI | 1376983478 |
|---|---|
| Former Name | COURTNEY F TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23214) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35434) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2016-07-04 |