| NPI | 1831559475 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IA 22543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22543) |
| 183500000X Pharmacist (Licence: NE 14892) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-04-01 |