| NPI | 1003076993 |
|---|---|
| Former Name | SUZANNE MARIE LIEBLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME113229) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME113229) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2012-10-10 |