| NPI | 1093046948 |
|---|---|
| Former Name | SUSAN ANNE CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17735) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0005102) |
| 183500000X Pharmacist (Licence: VA 0202207665) | |
| 183500000X Pharmacist (Licence: TX 42748) | |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |