| NPI | 1972735199 |
|---|---|
| Former Name | SUZANNE LESLIE MARCHESSAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 044810) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 8404) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2011-08-26 |