| NPI | 1346785979 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R2595) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA Ph233964) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2024-08-28 |