| NPI | 1619655289 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IN 26029843A) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IN 26029843A) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |