| NPI | 1629959465 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 8384) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 008384) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |