| NPI | 1699844811 |
|---|---|
| Former Name | COURTNEY LEIGH VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012972) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: KY 012972) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-10-27 |