NPI | 1104604461 |
---|---|
Former Name | EMILY ROSE BUCKNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MT PHAPHALIC69569) |
Enumeration Date | 2023-09-18 |
Last Update Date | 2023-09-18 |