| NPI | 1144823238 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012792) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 044010) |
| 183500000X Pharmacist (Licence: IL 051-039734) | |
| 183500000X Pharmacist (Licence: FL ps23457) | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |