| NPI | 1326348806 |
|---|---|
| Former Name | SUZETTE BALWING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA CA59203) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16966) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2023-01-20 |