NPI | 1114248648 |
---|---|
Other Name | SUZANNE T GATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-42710) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 00054148) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2021-11-30 |