| NPI | 1699759464 |
|---|---|
| Former Name | SUZANNE BISCHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0023707) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 043477) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2021-09-13 |