| NPI | 1689519639 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: UT 8672900-1701) |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-04-23 |