| NPI | 1669728143 |
|---|---|
| Former Name | SUZANNE PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 7667) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: TN 7667) |
| 1835P1300X Pharmacist Psychiatric (Licence: TN 7667) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2018-08-29 |