| NPI | 1770376402 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: WA PH61446001) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: UT 10488114-1701) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |