| 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 |