| NPI | 1104126655 |
|---|---|
| Former Name | CAROLINE SUCZYNSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054719) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PS60870) |
| 1835G0303X Pharmacist, Geriatric (Licence: PA RP449441) | |
| 1835G0303X Pharmacist, Geriatric (Licence: NC 24938) | |
| 1835G0303X Pharmacist, Geriatric (Licence: SC 42469) | |
| 1835G0303X Pharmacist, Geriatric (Licence: TN 44448) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2021-02-04 |